Individual provider Active NPI

Alexis Amber Kemp, NP

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1497223168
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994235-NP Issued in CO
Practice address
2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone
(720) 455-3570
Fax
(720) 455-3751
NPI assigned
Nov 10, 2018
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994235-NP CO Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419

Mailing address

PO Box 911244
Denver, CO 80291-1244
Phone (800) 953-0104

Other practice location 1

250 Max Dr Ste 102
Castle Pines, CO 80108-9518
Phone (303) 649-3350

Other identifiers 1

IdentifierTypeStateIssuer
9000169478MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320000633 CO Practitioner - Nurse Practitioner 5193065688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2352 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8419
Phone (303) 218-7774

2352 Meadows Blvd 300 ENT-CR
Etrk ENT CRK
Castle Rock, CO 80109-8419
Phone (720) 455-3800

2352 Meadows Blvd 300 Ortho
Orcr Ortho Meadows
Castle Rock, CO 80109-8419
Phone (720) 455-3775

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994235-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 10, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Mar 10, 2019 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

250 Max Dr
Ste 102
Castle Pines, CO 80108
Phone (303) 649-3350

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: akemp2049835@adventhealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1497223168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098419",
            "telephone_number": "720-455-3570",
            "fax_number": "720-455-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Max Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Castle Pines",
            "state": "CO",
            "postal_code": "801089518",
            "country_code": "US",
            "telephone_number": "303-649-3350",
            "fax_number": "303-649-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMP",
        "first_name": "ALEXIS",
        "middle_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994235-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000169478",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.